Broderick, Kristen Parker
Broderick, Kristen Parker is an individual health care provider with primary practice located at 4940 Eastern Ave Suite A520, Baltimore MD 21224-2735. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Broderick, Kristen Parker can be contacted via phone (410) 550-0407.Contact Information
Primary practice address
4940 Eastern Ave Suite A520
Baltimore MD 21224-2735
Phone: (410) 550-0407
Fax: (410) 550-1808
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | D0080874 | Maryland |
Profile Details
NPI number | 1891915021 |
---|---|
LBN Legal business name | Broderick, Kristen Parker |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 30th, 2007 |
Last updated | Feb 5th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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